ATI PROCTORED MEDICAL SURGICAL
In extubating an Endtroacheal tube, what needs to be reported immedatiely? -
ANSWER-stridor
Why is stridor bad? - ANSWER-it means that there is an obstruction or edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? -
ANSWER-usually greater than 110- to compensate for the low bp
What is normal urine gravity? - ANSWER-1.000 - 1.030
What is the role of positive pressure? - ANSWER-to promote lung expansion and
stabilize chest
Would you recommend exercise for a pt who has been discharged with heart failure? -
ANSWER-yes
How often should exercise be in heart failure pt? - ANSWER-regular routine
Should you consume milk with iron supplements? - ANSWER-no- can cause gastric
disturbance.
Would you take iron with antacids? - ANSWER-no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - ANSWER-no-
increase iron rich foods
What is a common side effect with iron pills? - ANSWER-constipation
What would you tell them to eat with taking iron pills? - ANSWER-high fiber
When does pain worsen with compartement syndrome? - ANSWER-when passive
moving occurs.
What does warmth under cast indicate? - ANSWER-infection
Should pt decrease complex carbs for atherosceleoris? - ANSWER-no, increase them
What carb should a client with atherosceloris decrease? - ANSWER-simple sugars
,Is MRSA airborne or contact? - ANSWER-contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - ANSWER-it
decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - ANSWER-magnesium
containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - ANSWER-calcium
can decrease absorption of med
What is a common side effect of rifampin? - ANSWER-color of urine-
Can you take ciproflaxcin with alcohol? - ANSWER-yes
After a parathryoidectomy what would be the priority for the nurse? - ANSWER-to put
trach tray by bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - ANSWER-fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - ANSWER-give dosage
same time every day
Is restlessness common in hyperthyroidism? - ANSWER-yes
What would be urgent for hyperthyroidism? - ANSWER-high BP
If a pt has a weird heart sound what would be first thing you do? - ANSWER-listen to it
again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? - ANSWER-if creatine levels are too high
What is normal creatine? - ANSWER-.6-1.2
What is one of the first vital signs of a hemorrhage? - ANSWER-increase heart rate
What med would you give for a febrile reaction? - ANSWER-tylenol (reduces fever)
How long does a drain stay in place for a radical mastectomy? - ANSWER-1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - ANSWER-less
than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? -
ANSWER-if they have COPD
, Why would it be bad for you to put O2 on a COPD pt? - ANSWER-It can worsen
hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? - ANSWER-
decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? -
ANSWER-back pain
What is max amount of flexion for total hip replacement? - ANSWER-no more than 90
degrees
Why would you place a pillow between a pt legs for hip athroplasy? - ANSWER-so the
hips don't get dislocated
What is a holter monitor used for? - ANSWER-detecting irregular heart rate and rhythms
What is the role of a pacemaker? - ANSWER-regulate the heart rate
What is a echocardiogram used for? - ANSWER-detecting valve dysfunction
What do PPI do for gastric ulcers? - ANSWER-it suppresses gastric acid production
What does high fowler's position accomplish? - ANSWER-increases lung expansion and
improves ventilation
What med would you d/c to before going in for allergy testing? - ANSWER-prednisone
If a pt were to state that their vision went blurry before a car accident, what would you
do first? - ANSWER-monitor neuro
What would be first thing to do if bowel is protruding from stomach? - ANSWER-call for
help
What kind of skin for hypothyroidism? - ANSWER-dry scaly
What does metformin do to glucose? - ANSWER-it decreases the amount of glucose
produced in liver
When should pt take metformin? - ANSWER-with or immediately following meals
If you have hair loss on lower legs what could be problem? - ANSWER-Peripheral
arterial disease (PAD)
When does pain happen with PAD? - ANSWER-with resting
In extubating an Endtroacheal tube, what needs to be reported immedatiely? -
ANSWER-stridor
Why is stridor bad? - ANSWER-it means that there is an obstruction or edema in airway
What is common in heart rate in a patient with low fluid volume (hypovolemia)? -
ANSWER-usually greater than 110- to compensate for the low bp
What is normal urine gravity? - ANSWER-1.000 - 1.030
What is the role of positive pressure? - ANSWER-to promote lung expansion and
stabilize chest
Would you recommend exercise for a pt who has been discharged with heart failure? -
ANSWER-yes
How often should exercise be in heart failure pt? - ANSWER-regular routine
Should you consume milk with iron supplements? - ANSWER-no- can cause gastric
disturbance.
Would you take iron with antacids? - ANSWER-no- causes gastric disturbances
Would you tell the pt to lower red meat intake with iron deficiency? - ANSWER-no-
increase iron rich foods
What is a common side effect with iron pills? - ANSWER-constipation
What would you tell them to eat with taking iron pills? - ANSWER-high fiber
When does pain worsen with compartement syndrome? - ANSWER-when passive
moving occurs.
What does warmth under cast indicate? - ANSWER-infection
Should pt decrease complex carbs for atherosceleoris? - ANSWER-no, increase them
What carb should a client with atherosceloris decrease? - ANSWER-simple sugars
,Is MRSA airborne or contact? - ANSWER-contact
What does phenyotoin do to hepatic enzymes (for seizures meds)? - ANSWER-it
decreases effectiveness
What should you tell the pt not to take with ciprofloxacin? - ANSWER-magnesium
containg antacids
Why wouldn't you take magnesium containing anatacids with cipro? - ANSWER-calcium
can decrease absorption of med
What is a common side effect of rifampin? - ANSWER-color of urine-
Can you take ciproflaxcin with alcohol? - ANSWER-yes
After a parathryoidectomy what would be the priority for the nurse? - ANSWER-to put
trach tray by bedside in case of airway occlusion(AIRWAY)
What meds increase osteoporosis? - ANSWER-fludrocortisone
With enoxaparin, what is the priority as the med the nurse? - ANSWER-give dosage
same time every day
Is restlessness common in hyperthyroidism? - ANSWER-yes
What would be urgent for hyperthyroidism? - ANSWER-high BP
If a pt has a weird heart sound what would be first thing you do? - ANSWER-listen to it
again but on the left side (least invasive)
Why would gentamicin be withheld from a pt? - ANSWER-if creatine levels are too high
What is normal creatine? - ANSWER-.6-1.2
What is one of the first vital signs of a hemorrhage? - ANSWER-increase heart rate
What med would you give for a febrile reaction? - ANSWER-tylenol (reduces fever)
How long does a drain stay in place for a radical mastectomy? - ANSWER-1 to 3 week
What drainage amount to get rid of drainage tube for mastectomy? - ANSWER-less
than 25
What is first thing to ask if a pt reports dyspnea and SOB when administering O2? -
ANSWER-if they have COPD
, Why would it be bad for you to put O2 on a COPD pt? - ANSWER-It can worsen
hypercarbemia.
What is someones HGB look like with leukemia (increase or decreased)? - ANSWER-
decreased
What would be a big sign that nephrosotomy tube has popped or been displaced? -
ANSWER-back pain
What is max amount of flexion for total hip replacement? - ANSWER-no more than 90
degrees
Why would you place a pillow between a pt legs for hip athroplasy? - ANSWER-so the
hips don't get dislocated
What is a holter monitor used for? - ANSWER-detecting irregular heart rate and rhythms
What is the role of a pacemaker? - ANSWER-regulate the heart rate
What is a echocardiogram used for? - ANSWER-detecting valve dysfunction
What do PPI do for gastric ulcers? - ANSWER-it suppresses gastric acid production
What does high fowler's position accomplish? - ANSWER-increases lung expansion and
improves ventilation
What med would you d/c to before going in for allergy testing? - ANSWER-prednisone
If a pt were to state that their vision went blurry before a car accident, what would you
do first? - ANSWER-monitor neuro
What would be first thing to do if bowel is protruding from stomach? - ANSWER-call for
help
What kind of skin for hypothyroidism? - ANSWER-dry scaly
What does metformin do to glucose? - ANSWER-it decreases the amount of glucose
produced in liver
When should pt take metformin? - ANSWER-with or immediately following meals
If you have hair loss on lower legs what could be problem? - ANSWER-Peripheral
arterial disease (PAD)
When does pain happen with PAD? - ANSWER-with resting
